Membership Form
MEMBERSHIP FORM
Member name(s): ____________________________________________________
___________________________________________________________________
Address: ___________________________________________________________
Phone: ______________________ E-Mail:_________________________________
Annual dues @ $20*, generally paid in December
TOTAL enclosed: $_____________
SEND FORM to:
Reed Blackman, Treasurer
1230 Meyer Street
University City, MO 63130
Okay to use E-Mail for newsletters and announcements? ___YES ___NO
Norwegian Society of Saint Louis was recommended to me by:_________________
My Heritage:_________________________________________________________
Interests and/or any other comments:
*: Dues are $20 per unit – individual or family. Future newsletters will go only to those who have paid dues. The club needs funds to reserve locations for our activities and to provide activities at low cost. We count on your interest and support for the club’s continuance. We would like to send communications by E-Mail if possible but will honor requests for regular mail from those who have paid dues.